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Analysis of Visual Pathways in Glaucoma Patients Using a 3tesla-MRI (ENVOL)

This study has been completed.
Union National des Aveugles et DEficients Visuels
Information provided by (Responsible Party):
University Hospital, Bordeaux Identifier:
First received: June 11, 2012
Last updated: December 18, 2013
Last verified: December 2013

Glaucoma is a neurodegenerative disease representing the second cause of blindness worldwide. IOP (Intra occular pressure) is the most common risk factor, but not the only one as it is observed for normal tension glaucoma. Some studies have reported lesions of the optical pathways on MRI examination MRI 3T (Magnetic Resonance Imaging 3 Telsa), by increasing spatial resolution and DTI (diffusion tensor Imaging)with fractional anisotropy could help us to analyze visual pathways and to determine the association with neurodegenerative diseases as Alzheimer.

The investigators propose to compare volume and structure of the visual pathways between glaucoma patients and healthy subjects matched on age and sex.

Glaucoma is a neurodegenerative disease characterized by loss of retinal ganglion cells, visual field deterioration and optic nerve cupping. Some studies have suggested that all the visual pathways could be damaged in glaucoma. Recently, a German study proved a significant reduction of volume of the optic radiations in glaucoma versus healthy subjects in MRI 3T. Some authors have also suggested that glaucoma could share similarities with the other neurodegenerative diseases like Alzheimer's disease. MRI 3T and DTI allow studying visual pathways with a high level of spatial resolution.Fractional anisotropy is a tag of microstructure.

Glaucoma Fractional Anisotropy

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective

Resource links provided by NLM:

Further study details as provided by University Hospital, Bordeaux:

Primary Outcome Measures:
  • fractional anisotropy [ Time Frame: Inclusion ]

Secondary Outcome Measures:
  • volume of retrochiasmatic grey matter [ Time Frame: Inclusion ]
  • global atrophy [ Time Frame: inclusion ]
  • hyper intensities white matter [ Time Frame: inclusion ]

Enrollment: 114
Study Start Date: June 2012
Study Completion Date: November 2013
Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Glaucoma subjects
heathly subjects


Ages Eligible for Study:   40 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Glaucoma subjects are recruted in ophtalmologic departement

Inclusion Criteria:

  • for cases : Age over 40 years-old, glaucomatous lesion of the optic nerve head with cup/disc ratio, visual field loss, and minimental state superior or equal to 28/30
  • for healthy subjects/ matched on age and sex, no individual or familial history of glaucoma, IOP less than 21mmHG, minimental state superior or equal to 28/30

Exclusion Criteria:

  • Ocular hypertension, optic nerve disease, visual field loss, diabetes, Horton disease, ocular diseases, immunologic diseases, neuropsychiatric diseases, MRI contraindication (pace maker)
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Please refer to this study by its identifier: NCT01621841

Service d'ophtalmologie Hôpital Pellegrin
CHU de Bordeaux, Bordeaux, France, 33000
Sponsors and Collaborators
University Hospital, Bordeaux
Union National des Aveugles et DEficients Visuels
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University Hospital, Bordeaux Identifier: NCT01621841     History of Changes
Other Study ID Numbers: CHUBX2012/01
Study First Received: June 11, 2012
Last Updated: December 18, 2013

Additional relevant MeSH terms:
Ocular Hypertension
Eye Diseases processed this record on September 21, 2017